Smith, Chad D

Smith, Chad D is an individual health care provider with primary practice located at 1316 Mercy Dr , Muskegon MI 49444-1891. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Smith, Chad D can be contacted via phone (231) 739-9461.

Contact Information

Primary practice address
1316 Mercy Dr Muskegon MI 49444-1891
Fax: (231) 733-8131
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601005752 Michigan

Profile Details

NPI number 1770627051
LBN Legal business name Smith, Chad D
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2007
Last updated Feb 10th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770627051 NPPES
Michigan Other CS005752 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 1770627051 BLUE CROSS BLUE SHIELD

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